Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,719.94 / $2,719.94 / $2,719.94	Facility		$2,719.94	$2,719.94	$2,719.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.45 / $172.80 / $201.43	Professional		$108.45	$172.80	$201.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $106.74 / $106.74 / $135.56	Professional		$106.74	$106.74	$135.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.44 / $180.70 / $301.00	Professional		$108.44	$180.70	$301.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $178.65 / $240.02 / $448.94	Professional		$178.65	$240.02	$448.94
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Facility		$150.00	$150.00	$150.00
United Facility/Professional Professional Modifier Low / Median / High Price $141.68 / $187.86 / $344.37	Professional		$141.68	$187.86	$344.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.38 / $142.37 / $240.02	Professional		$125.38	$142.37	$240.02